Individual provider Active NPI

Paulette R. Eason-Williams, LCPC, CADC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1962415406
Registry record updated Feb 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180-005158 Issued in IL
Practice address
1222 W. 95TH St
Chicago, IL 60643
Phone
(773) 238-5555
Fax
(773) 238-5533
NPI assigned
Aug 15, 2006
Last updated
Feb 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180-005158 IL Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 13958 IL
Mental Health Counselor 101YM0800X 180-005158 IL

Addresses

Primary practice location

1222 W. 95TH St
Chicago, IL 60643

Mailing address

1708 W. Beverly Glen Pkwy
Chicago, IL 60643
Phone (773) 238-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240318003205 IL Practitioner - Mental Health Counselor 7214300771 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13958ILMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heuristic Quest Headquarters Addiction (Substance Use Disorder) CurrentSince Sep 1, 2024 Accepting new patients
Heuristic Healing Inc. Addiction (Substance Use Disorder) CurrentSince Jan 2, 2024 Accepting new patients

Locations

1222 W 95th St
Chicago, IL 60643
Phone (773) 238-5555

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771113600000",
    "number": "1962415406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 W. BEVERLY GLEN PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60643",
            "telephone_number": "773-238-5555",
            "fax_number": "773-238-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 W. 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60643",
            "telephone_number": "773-238-5555",
            "fax_number": "773-238-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASON-WILLIAMS",
        "first_name": "PAULETTE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "LCPC, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2026-02-15",
        "certification_date": "2026-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-005158",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "13958",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180-005158",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.